"Simultaneous regeneration of full-thickness cartilage and subchondral bone defects in vivo using a three-dimensional scaffold-free autologous construct derived from high-density bone marrow-derived mesenchymal stem cells."

"In recent years, several methods have been developed for repairing full-thickness cartilage defects by tissue engineering using mesenchymal stem cells. Most of these use scaffolds to achieve sufficient thickness. However, considering the potential influence of scaffolds on the surrounding microenvironment, as well as immunological issues, it is desirable to develop a scaffold-free technique. In this study, we developed a novel technique, a scaffold-free autologous construct derived from bone marrow-derived mesenchymal stem cells (BM-MSCs), and successfully use this technique to regenerate cartilage and subchondral bone to repair an osteochondral defect in rabbit knees."

The importance of this article is that with this regeneration of the cartilage, patients would be able to improve significally after having surgery, there will be no more waits or bad news.
Which should be our priority now are prices and accessibility for people with a low socio-economical lifestyle.

-Abstract taken from: http://www.josr-online.com/content/9/1/98

-Image from: http://www.surgery.uwa.edu.au/research/cartilage

"Discriminating imaging findings of acute osteoporotic vertebral fracture: a prospective multicenter cohorte study."

Appropriate treatment of osteoporotic vertebral fractures (OVF) requires knowledge of the age of the fracture. Although diagnostic imaging has made remarkable progress in recent years, it remains difficult to differentiate acute fractures from old. 

Its is important to know the age of the fracture since its tratment is completely unique dependen on the age. 
In this article we are taught how to discriminate the aging so we can give out patients the right treatment and not get confuse because it would be a problem for the patients fracture or bones.

-Abstract taken from: http://www.josr-online.com/content/9/1/96/abstract
-Image from: http://www.santarosastrength.com/conditions.shtml

Lifetime of fitness: A fountain of youth for bone and joint health?

"Being physically active may significantly improve musculoskeletal and overall health, and minimize or delay the effects of aging according to a review of the latest research on senior athletes (ages 65 and up) appearing in the September issue of the Journal of the American Academy of Orthopaedic Surgeons (JAAOS)."
 
It long has been assumed that aging causes an inevitable deterioration of the body and its ability to function but recent research on senior, elite athletes suggests usage of comprehensive fitness and nutrition routines helps minimize bone and joint health decline and maintain overall physical health.
 
“An increasing amount of evidence demonstrates that we can modulate age-related decline in the musculoskeletal system,” said lead study author and orthopaedic surgeon Bryan G. Vopat, MD. “A lot of the deterioration we see with aging can be attributed to a more sedentary lifestyle instead of aging itself.”
 
The positive effects of physical activity are the bone density, muscle mass, ligament and tendon function, and cartilage volume are keys to optimal physical function and health. 

Como of the recomedations are:

1. Resistance training.

2. Endurance training. 

3. Flexibility and balance. 

Not only doing exercise but having a healthy diet to optimize performance. 

-Information taken from: http://newsroom.aaos.org/media-resources/Press-releases/lifetime-of-fitness-a-fountain-of-youth-for-bone-and-joint-health.htm

The ortho-plastic management of Gustilo grade IIIB fractures of the tibia in children: A systematic review of the literature.

"The challenges of managing Gustilo IIIB tibial fractures in children are unique. A multi-disciplinary, evidence based approach is needed. We aimed to evaluate the evidence for the ortho-plastic management of Gustilo grade IIIB open tibial shaft fractures in children based on a review of all published data in order to rationalise the orthopaedic and plastic surgical approach to these complex injuries." 

This article talks about how children are the very first affected people speaking about fractures, especially the tibial ones since it is common to have accidents while playing.

As the fracture is in children, their bones are not totally developed and its pretty easier to recoger fastly from surgery. But, we should not be that confident, like other patients, the child must be our priority.

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-Abstract taken from: http://eds.a.ebscohost.com/ehost/detail/detail?vid=9&sid=82048100-627d-4e55-ad81-737d6e5afe2b%40sessionmgr4004&hid=4208&bdata=Jmxhbmc9ZXMmc2l0ZT1laG9zdC1saXZl#db=afh&AN=43310720

-Photo from: http://www.orthopaedicsurgeon.com.sg/fractures-tibia-fibula/